| Elba Physician Group | |
|
987 Drayton Ave Elba AL 36323-1402 | |
| (334) 897-2257 | |
| Not Available |
| Full Name | Elba Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 987 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Ellen C Briley (CEO) |
| Authorized Official Contact | 3348972257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elba Physician Group 987 Drayton Ave Elba AL 36323-1402 Ph: (334) 897-2257 | Elba Physician Group 987 Drayton Ave Elba AL 36323-1402 Ph: (334) 897-2257 |
| NPI Number | 1053571588 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053571588 | NPI | - | NPPES |
| 558300170 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Elba Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-493-5713 |
First Med of Elba Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 Larkin Rd, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-853-0128 |
Jason D. Tucker, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 |
Joyce P. Goetsch, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 |
Dr. Glenn Roberts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 Drayton Ave, Elba, AL 36323 Phone: 334-897-2597 Fax: 334-897-6662 |
Lance K. Dyess, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-897-3476 |